Sph Enterprise LLC
NPI 1609199074ActiveOrganization· Dentist, General Practice· Bridgeport, CT
Dentist, General Practice in Bridgeport, Connecticut, registered in NPPES in March 2010. The authorized official on file is Diane Devries, Business Manager.
Overview
| NPI | 1609199074 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 12, 2010 |
| Last updated in NPPES | May 8, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 009785 | CT |
| Dentist, General Practice | 1223G0001X | 009846 | CT |
| Dentist, General Practice | 1223G0001X | 009920 | CT |
| Dentist, Pediatric Dentistry | 1223P0221X | — | — |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | 010946 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other general dentists in Bridgeport
- 1023259371
- 1124178934
- 1134569932
- 1275797458
- 1306028030
- 1346463635
- 1346942083
- 1578790937
- 1730595380
- 1861517237
- 1871698795
- 1891355814
All 84 general dentists in Bridgeport · All general dentists in Connecticut